81535 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81535, Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combination, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81535
- Description
- Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combination
- Source
- New Hampshire Precertification List, Pg 180 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization